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Individual
MONTY V HERRON
Active
Individual
MONTY V HERRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP3503
AZ
363LF0000X
Family Nurse Practitioner
AP3503
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
491097
—
AZ
Enumeration date
01/07/2010
Last updated
08/25/2016
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